Bills / S. 3386
S. 3386
Health Care Freedom for Patients Act of 2025
In plain English
The bill would give eligible adults ages 18–64 with health savings accounts and bronze or catastrophic exchange plans $1,000 or $1,500 yearly in 2026–2027, depending on age. Starting in 2027, it would fund help with out-of-pocket costs for certain silver-plan members and let anyone enroll in catastrophic coverage. It would reduce federal Medicaid expansion funding for states providing health benefits to certain noncitizens and change payment rules while immigration status is checked. It would also bar exchange plans from covering gender-transition procedures as essential health benefits and block federal Medicaid and Children’s Health Insurance Program payments for those procedures.
Simplified by AI from the Congressional Research Service summary. Check the full text on Congress.gov.
Sponsor and status
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How South Carolina voted
On the Cloture Motion · Senate roll call 643 · 2025-12-11 · Roll-call record ↗
| Darline Graham (R) | Lindsey Graham (R) | Tim Scott (R) |
|---|---|---|
| Not serving | Yea | Yea |
Who lobbied
Lobbying reports name the bills a client worked on. They don't say which side anyone took.
43 reports from 18 clients reporting $31,302,396 in fees and expenses. Fees cover each report's whole lobbying effort, not just this bill.
Businesses and trade groups (11)
- AMERICAN MEDICAL ASSOCIATION ↗Health · 3 reports
- ASSOCIATION OF AMERICAN MEDICAL COLLEGES ↗Health · 4 reports
- HEALTHEQUITY, INC. ↗4 reports
- HIGHMARK INC ↗4 reports
- ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES ↗2 reports
- HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) ↗Health · 4 reports
- PLANNED PARENTHOOD FEDERATION OF AMERICA INC ↗1 report
- AMERICAN BANKERS ASSOCIATION ↗4 reports
- NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS ↗Health · 3 reports
- TEXAS CATTLE FEEDERS ASSOCIATION ↗1 report
- PLANNED PARENTHOOD ACTION FUND INC ↗1 report
Advocacy groups and nonprofits (2)
- AMERICAN CIVIL LIBERTIES UNION ↗2 reports
- NATIONAL MULTIPLE SCLEROSIS SOCIETY ↗3 reports
Labor unions (1)
- AFL-CIO ↗1 report
Not classified (4)
- FEDERATION OF AMERICAN HOSPITALS ↗2 reports
- SUSAN B ANTHONY LIST ↗1 report
- CENTER ON BUDGET AND POLICY PRIORITIES ↗1 report
- REPRODUCTIVE FREEDOM FOR ALL ↗2 reports
Groupings are our label from each organization's name and industry, not its legal or tax status.
The connection table
Organizations that lobbied this bill, and money each gave South Carolina's delegates this cycle: its PAC's contributions (FEC) plus its lobbyists' reported contributions and event payments (LD‑203, group events excluded). Exact name matches only. An empty cell means no matching money was found. Under each name is that delegate’s final vote on the bill (passage or last substantive vote). Delegates who didn’t vote on it, for example because they weren’t serving, are grayed out and left out of the Total column.
| Organization | D. GrahamNo vote | L. GrahamYea | T. ScottYea | J. ClyburnNo vote | J. WilsonNo vote | N. MaceNo vote | R. NormanNo vote | R. FryNo vote | S. BiggsNo vote | W. TimmonsNo vote | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN B ANTHONY LIST | – | $3,224 | – | – | – | – | – | – | – | – | $3,224 |
| FEDERATION OF AMERICAN HOSPITALS | – | $2,500 | – | – | – | – | – | $2,500 | – | – | $2,500 |
| AMERICAN BANKERS ASSOCIATION | – | $2,500 | – | – | $2,500 | – | – | $2,500 | – | $2,500 | $2,500 |
| MARSHALL & POPP, LLCLobbying firm for FEDERATION OF AMERICAN HOSPITALS | – | – | $1,000 | – | – | – | – | – | – | – | $1,000 |
| Total | – | $8,224 | $1,000 | $2,500 | $2,500 | – | – | $5,000 | – | $2,500 |